Acosta, Clel Louis
Acosta, Clel Louis is an individual health care provider with primary practice located at 602 N Acadia Rd , Thibodaux LA 70301-4847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Acosta, Clel Louis can be contacted via phone (985) 493-4750.Contact Information
Primary practice address
602 N Acadia Rd
Thibodaux LA 70301-4847
Phone: (985) 493-4750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD.017625 | Louisiana |
Profile Details
| NPI number | 1750310306 |
|---|---|
| LBN Legal business name | Acosta, Clel Louis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750310306 | NPPES |
| Louisiana | MEDICAID | 1344044 |
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